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Faculty Fellows Participation Questionnaire


We are thrilled that you would like to help University Housing create a "seamless" learning environment on campus! By interacting with residents outside of the classroom as a Faculty Fellow, you will bridge the gap between in class and out of class experiences. In addition to serving as an academic and personal resource, we hope you will have a lot of fun in the process. To help us get to know you better, please complete the following form.

Click with a mouse or use the TAB key to advance fields. If information is incorrect, click the "Reset" box and enter again. When the information is complete, click on the "Submit" button to send your request. A screen will appear to verify the request was sent.

Name:
Department:
Office location:
Campus box #:
E-mail address:
Campus phone:
How long have you worked at SIUE?:
Teaching/research areas of specialization:
I prefer to work with:
What are your interests outside of SIUE? What do you like to do for fun? Do you have any hobbies or special talents that you could share with residents?(i.e. basket weaving, harmonica playing, cooking, hiking, etc.)
Any personal information you would like to share? (i.e. family, pets, travels, unique factoids, etc.)
Summer mailing address:
Summer e-mail address:
Summer phone: - -
May we add you to our faculty e-mail listserv? Yes No
Would you be interested in attending 1-2 brown bag lunch meetings per semester to socialize with other faculty members and discuss current student development issues/trends? Yes No